Snapshot A 1-month-old boy is brought to the emergency department by his mother due to vomiting after feeds and blood in stool. The patient was born to a 28-year-old woman at 28 weeks gestation. His weight was 989 grams at the time of delivery and had a 5-minute APGAR score of 6. On physical examination the patient appears lethargic and abdominal distension is appreciated. An abdominal radiograph is shown. Introduction Clinical definition login to view 1 more bullet Epidemiology Incidence login to view 1 more bullet Demographics login to view 1 more bullet Risk factors login to view 5 more bullets ETIOLOGY Pathogenesis login to view 2 more bullets Associated conditions login to view 1 more bullet Presentation Symptoms login to view 5 more bullets Physical exam login to view 2 more bullets Imaging Radiography login to view 9 more bullets Studies Labs login to view 5 more bullets Diagnostic criteria login to view 3 more bullets Differential Spontaneous intestinal perforation Infectious enteritis Treatment Conservative login to view 7 more bullets Medical login to view 6 more bullets Operative login to view 6 more bullets Complications Bowel perforation Disseminated intravascular coagulation Infectious complications (e.g., peritonitis) Prognosis 15-30% overall mortality and increased mortality with login to view 2 more bullets